HomeMy WebLinkAbout125 JUDY LN i
APPLICATION FOR.ELECTRICAL•PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
P OVE 1540 SULLIVAN AVENUE gig permit#
644-2511 ext. 230
D I Wading Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$11000=$15.00 L< tIDI i,
Over$1,000= [—Sbtre ' o. Street Lot No.
$15.00 per$1,000
or any fraction thereof Designation Apt.No.
APPLICANT CAC l C C
APPLIC IAiNT ADDRESS
i
APPLIC 'S PONE# 16 -5-6 4
N OWNER
S Fq< OWNER ADDRESS 12,5 ILI IT/ L ;W j W 1kj n S&R,
C F OWNER ONE �-6 y
a � ESTIMA'�ED COST$ �
U IS THIS H CONTRAkawCT COST? YesNo
FEE ENCLOSED-$ .
TYPE 0 JOB: Ca s V \
dSOR•C0 i New Installation
Alteration/Addition/Repair.
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? YES O NO
RESIDENTIAL CURRENT USE AND OCCUPANCY
❑ BUSINESS
❑. ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
U. STORAGE ADDRESS
❑ GARAGE
❑ MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
-SIZE OF SERVICE SIZE OF MAIN CONDUCTORS .,
NUMBERS OF METERS NUMBERS.OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO
NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF`LIGHT FIXTURES NUMBER OF-HEAT CIRCUITS
NUMBER`OF A/C CIRCUTIS.
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBNIITTED.
DESCRIPTION OF WORK
11 oj exi c
7
THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR-
MANCE OF SUCH WORK
s
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT l/ & DATE 10-Z q f
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1 inch = 30 feet MAPPING PROVIDED BY SBC UNDER CONTRACT.
C 125 Judy Lane DATA MANAGED BY THE SOUTH WINDSOR
y ENGINEERING DEPARTMENT AND IT TECHNOLOGY
DEPARTMENT.
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DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
"Datespector
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT �� ���
1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Application must be printed or typed
Location of Job:
FEE SCHEDULE
$0-$1,000=$13.00 FY�enant
Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof nation Apt.No.
APPLICANT /7"k
APPLICANT ADDRESS
G 7--, e, G'2 `l
APPLICANT PHONE#
SOW N 8Fq OWNER �®►�� �� /
OWNER ADDRESS �, C/�/ !/
O e , OWNERPHONE �O �� 7�.--/�
C ;D ESTIMATED COST$
IS THIS A CONTRACT COST? 0 Yes 2Wu
FEE ENCLOSED$
TYPE OF JOB:
SOR.CO
.qlNew Installation
13 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
%.IEATING ❑RESIDENTIAL
❑A/C ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
.0`HYDRONIC ❑ WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE °F INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT—BTUH) /! NET RATING(OUTPUT BTUH)
TYPE OF FUEL
3'GIL—GPM 9, OIL TANK LOCATION:❑ INSIDE❑OUTSIDE CAPACITY
❑ GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION) /
FURTHER DESCRIPTION OF WORK Q a�'/�'f /�d i��✓2
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
�03-2 9?2 '5_ ( C!
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DAB 3 a
Electric # APPLICATION FOR BUILDING PERMIT
n # 12 5 Judy Lane
Plumbing HVAC 800239 Date: h1c� 07, ZcVc'�'
Sprinkler#
FINAL - — -- - Estimated Cost $
Buildingl! �o COMPLETE RED BOXED AREAS Permit Fee $ O
Occupancy Fee $
Enginee TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
CO. j SIGN ON REVERSE SIDE / Total Fee $ U
TO THE BUILDING DEPART - - - - �I MENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant ocation of Work 1� `1 (S%L� (Mot No.
Applican ' dd ess ' Tel.# 31
Town � (/L�� 5'✓ (�— Zip r)lQ �'-1 I ic.# C���IQ! I
Owner IV K Architect
0 er's ddress v �,.n� Architect's Address
Zip
Sq. Ft. New Area: 1 st FI. nd FI. 3rd-Fl. Total New Area
Purpose of this permit;_ 0"A Ael4 ay- 26 ,SGUczrn
City Watero Well❑ Septic System❑ Sewer❑
Ins: HO S Cert. Area Baseme Garage
Approved by Date �7 t` v ^ Use Group Construction Type
Revised 6102
06TI
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all st lines,side yard lines,and required
distances from all other zones and is located in ov ich th' ildin9 nd its use is allow
Signed
1 hereby apply for a Certificate of pancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
BUILDING PERMIT
STATE OF CONNECTICUT
WORKERS'COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn.Gen.Stat. §31-286b)
Property located at 7 C C., Lah--e
In the town of
Name of building permit applicant: kfAmo
y(
Please check one:
1._I am the owner of the above property.
2._4,/fam the sole proprietor of a business.
2A.Name of business NJ
2B.Federal Employer Identification Number(FEIN)
....................................................................................................................
Pursuant to§31-286b,"a property owner or sole proprietor[who]intends to act as a general
contractor or principal employer"may provide either a certificate of workers'compensation
insurance or a"swom notarized affidavit... stating that he will require proof of workers'
compensation insurance for all those employed on the job site in accordance with this chapter."
Please check one:
1._I do not intend to act as a general co ctor or principal employer.
[Sign
and stop here
Sign ture of applicant
2._I intend to act as a general contractor or principal employer.Applicant must either
provide a certificate of workers'compensation insurance or sign the affidavit
below.
....................................................................................................................
Affidavit
I hereby swear and attest that I will require proof of workers'compensation insurance for every
contractor,subcontractor,or other worker before he/she engages in work on the above property in
accordance with the Workers'Compensation Act(Chapter 568).
I understand that pursuant to§31-275 C.G.S.,officers of a corporation and partners in a
partnership may elect to be excluded from coverage by filing a waiver with the appropriate
District Office;and that a sole proprietor of a business is not required to have coverage unless he
files his intent to accept coverage.
Signature of applicant
Subscribed and sworn to before me this day of ,200 .
(Notary Public/Commissioner of the Superior Court)
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC# /�S � � l �,o_ Date:
Sprinkler#FINAL APPROVALS Estimated Cost $ E;"T9/a�5p
� S
Building COMPLETE RED BOXED AREAS Permit Fee $ 3z*
Engineering Occupancy Fee $ �o
Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr.forCO. SIGN ON REVERSE SIDE t
Total Fee $ c �
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following: cash — /oS
Applicant C7 C I eC I Z Location of Work 1L'�_.��! Y ✓J _—Lot No.
Applicant's Address 1257 3,4j�eP7 Tel #4-G 0 13b 5-6
Town5���1'1 W 1�/ S�✓ Zip 0&09 y Lic.#
Owner wo c I e[� 16 S Z Architect
Owner's Address 1215- -f L� Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. _ 3rd FI. Total New Area
Purpose of this permit _>�eC
City Water Well -1 Septic System J Sewer.4] , bl7opSIU
Ins: HO SP Area Basement Garage
Approved by Date 6- k • l� Use Group Construction Type
Revised 1108
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work describe in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
INSPECTION FIELD SHEET 04/12/22
Printed by Middleton, Morgan 10 04 40
INSPECTION: 94787 FINAL PERMIT:
STATUS
APPLICATION: 201700510
LOC: 125 JUDY LANE
SOUTH WINDSOR
PROPERTY ID: 48600125
OWNER: STRZEPEK IWONA &
CONTRACTOR:
REQUEST BY:
PROJ DESC: DECK.
WORK ORDER:
INSPECTOR: WEAR RESULT: PASS
REQUESTED: 02/24/21 PRIORITY:
SCHEDULED: 02/24/21 COMPLETED: 02/24/21
UNPAID FEES: 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
ALL INSPECTIONS
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
06/02/17 ROSE PASS B001 FOOTING
PIERS
B002 FOUNDATION
06/02/17 ROSE PASS B003 FRAMING (ROUGH)
WOJTEK ® 860-836-5647
E003 ELECTRIC ROUGH
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC# « 4 A nz [—Date:
Sprinkler# ti.
FINAL APPROVALS J 3 Estimated Cost $ -�
Building COMPLETE RED BOXED AREAS Permit Fee $
Engineering Occupancy Fee $ I u
Affidavit
TYPE OR PRINT ONLY Eng. Insp. Fee $
► SIGN ON REVERSE SIDE t
Appr.forCO. Total Fee $
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant C ( _ LocationofWork 2 U 1 S LotNo.
Applicant's Address1L5 AQ0 LA) 5014111 Wl W0501Z � Tel #
Towri ka l rt k)10 A Zipd 60 i4- Lic.#
Owner t ip(H yi y,- Architect
Owner's Address Architect's Address _
f� Zip Zip
Sq.Ft.New Area: 1 st FI. I 2nd FI. 3r A Total New Area
Purpose of this ermit Qt� ovr✓t b✓�Pz`J n �7 �i i,.�
City Water J Well '] Septic System J Sewer J ;�CilSO 15o
Ins: HO LK SP Cert. Area Basement Garage
Approved b Date 1 � Use Groin Construction Type
Revised 1108
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which t uilding and its use is allowed
Signe
I hereby apply for a Certificate of Occupancy for the workdescribed in this application for the permit.
Signed �6�=,� 17
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
w
INSPECTION FIELD SHEET 04/12/22
Printed by Middleton, Morgan 10 03 36
INSPECTION: 81017 FINAL PERMIT:
STATUS:
APPLICATION: 201501605
LOC: 125 JUDY LANE
SOUTH WINDSOR
PROPERTY ID: 48600125
OWNER: HUTCHINSON SUSAN
CONTRACTOR:
REQUEST BY:
PROJ DESC: TRANSFORM BREEZEWAY INTO LIVING SPACE AND ADD LVL SUPPORT
WORK ORDER:
INSPECTOR: WEAR RESULT: PASS
REQUESTED: 02/24/21 PRIORITY:
SCHEDULED: 02/24/21 COMPLETED: 02/24/21
UNPAID FEES: 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
ALL INSPECTIONS:
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
B001 FOOTING
B002 FOUNDATION
11/20/15 ROSE PASS B003 FRAMING (ROUGH)
BLOCKING BETWEEN FLOOR JOIST
11/23/15 ROSE PASS B004 INSULATION
VOYTEK ® 860-836-5647
B005 FIREPLACE / CHIMNEY
B006 WOOD / GAS STOVE
E001 ELECTRIC SERVICE
E002 ELECTRIC UNDERGROUND
11/20/15 ROSE PASS E003 ELECTRIC ROUGH
P001 WATER HEATER REPLACEMENT
P002 PLUMBING UNDERGROUND
P003 PLUMBING ROUGH
P004 PLUMBING GAS TEST
1500713 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 11/19/2015
GIS ID:48600125 FEE: 45.00
MUNIS APPLICATION# 201501605 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: WOJCIECH KISZ ADDRESS: 125 JUDY LANE
ADDRESS: 125 JUDY LANE OWNER: HUTCHINSON SUSAN
SOUTH WINDSOR,CT 06074 23 LIBRARY LN SOUTH
STURBRIDGE,MA 01566
DESCRIPTION OF WORK: TRANSFORM BREEZEWAY INTO LIVING SPACE AND ADD LVL SUPPORT
BEAM.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
11/19/2015 3:00 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1700264 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 06/07/2017
GIS ID:48600125 FEE: 135.00
MUNIS APPLICATION# 201700510 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: WOJCIECH KISZ ADDRESS: 125 JUDY LANE
ADDRESS: 125 JUDY LANE OWNER: STRZEPEK IWONA&
SOUTH WINDSOR,CT 06074 125 JUDY LANE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: DECK.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
6/7/2017 11:52 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1500454 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 11/20/2015
GIS ID:48600125 FEE: 15.00
MUNIS APPLICATION# 201501605 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: WOJCIECH KISZ ADDRESS: 125 JUDY LANE
ADDRESS: 125 JUDY LANE OWNER: HUTCHINSON SUSAN
SOUTH WINDSOR,CT 06074 23 LIBRARY LN SOUTH
STURBRIDGE,MA 01566
DESCRIPTION OF WORK: UPDATE EXISTING ELECTRICAL,FIXTURES,SWITCHES AND OUTLETS.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
11/20/2015 3:50 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE